Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ELITE SMILE CENTER, LLC

NPI: 1104162858 · KAILUA KONA, HI 96740 · 1223G0001X

$182K

Total Medicaid Paid

4,938

Total Claims

4,519

Beneficiaries

14

Codes Billed

2018-01

First Month

2024-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	1,946	$48K
2019	1,676	$38K
2020	357	$10K
2023	437	$36K
2024	522	$48K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
D7210		258	160	$40K
D1120		757	757	$25K
D9310		333	333	$23K
D0120		598	598	$22K
D0330		278	278	$20K
D0230		937	691	$11K
D0272		365	365	$9K
D1208		705	705	$7K
D0220		438	433	$7K
D2392		95	40	$6K
D9230		67	62	$3K
D1110		44	44	$2K
D2930		22	12	$2K
D0274		41	41	$2K